| NPI | 1467867309 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0700X (Licence: IL 036.149137) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 7257) |
| Enumeration Date | 2014-06-30 |
| Last Update Date | 2019-05-29 |