| NPI | 1427151323 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2014011671) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036089772) |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2017-03-14 |