| NPI | 1437165834 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 116009) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036090509) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2020-10-22 |