| NPI | 1467405357 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 55230) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036113140) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2025-04-17 |