NPI | 1558584391 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 336035459) |
Additional Taxonomies | 207RI0001X Internal Medicine, Clinical & Laboratory Immunology (Licence: IL 336035459) |
2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: IL 336035459) | |
207QA0505X Family Medicine, Adult Medicine (Licence: IL 336035459) | |
Enumeration Date | 2007-04-10 |
Last Update Date | 2025-07-09 |