| NPI | 1477730612 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036133803) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD P22023) |
| Enumeration Date | 2008-01-30 |
| Last Update Date | 2022-12-10 |