| NPI | 1215324462 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036144283) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125-066330) |
| Enumeration Date | 2015-04-24 |
| Last Update Date | 2023-08-18 |