| NPI | 1437386216 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036130336) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.056062) |
| Enumeration Date | 2009-06-18 |
| Last Update Date | 2021-04-27 |