| NPI | 1407877418 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036-115142) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: IL 036115142) |
| 207R00000X Internal Medicine (Licence: IL 036115142) | |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2024-07-04 |