| NPI | 1326531138 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 336.126314) |
| Additional Taxonomies | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: IL 036169164) |
| Enumeration Date | 2018-06-07 |
| Last Update Date | 2024-12-23 |