| NPI | 1508880287 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: IL 036-046124) |
| Additional Taxonomies | 174400000X Specialist (Licence: IL 036-046124) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2016-02-24 |