| NPI | 1407962160 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036-063019) |
| Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: IL 036-063019) |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2024-01-03 |