| NPI | 1336301779 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism (Licence: IL 036121542) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL 30927) |
| 207R00000X Internal Medicine (Licence: IL 036121542) | |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2025-04-23 |