| NPI | 1427317155 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NV DO3640) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: IL 1086129) |
| Enumeration Date | 2012-05-15 |
| Last Update Date | 2024-07-10 |