| NPI | 1467659771 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA C171960) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125053543) |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2024-04-18 |