| NPI | 1336304773 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD176888) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125054001) |
| Enumeration Date | 2008-07-24 |
| Last Update Date | 2022-05-17 |