| NPI | 1528147444 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036-116700) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036-116700) |
| 207R00000X Internal Medicine (Licence: MO 2006004612) | |
| 207R00000X Internal Medicine (Licence: IL 336-077766) | |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2024-01-30 |