| NPI | 1508918178 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA C161090) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 36111980) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2022-12-29 |