| NPI | 1225073109 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01042876) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036091295) |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2023-03-07 |