| NPI | 1306264882 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: IL 036141308) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125065995) |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: IN 01083530A) | |
| Enumeration Date | 2014-04-02 |
| Last Update Date | 2021-08-13 |