| NPI | 1346892908 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01087637A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125073912) |
| Enumeration Date | 2019-07-14 |
| Last Update Date | 2022-10-15 |