| NPI | 1487716932 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 79185) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036084342) |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2020-03-23 |