NPI | 1316353428 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IL 036149027) |
Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: GA 91357) |
Enumeration Date | 2014-07-09 |
Last Update Date | 2025-08-11 |