| NPI | 1508905928 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: IL 036051372) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 71030) |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MN 71030) | |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2022-08-25 |