| NPI | 1285670232 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036.094000) |
| Additional Taxonomies | 173000000X Legal Medicine (Licence: IL 036094000) |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2019-10-16 |