| NPI | 1447346630 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 36151293) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA 38691) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2026-03-27 |