| NPI | 1568618544 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: IL 036131897) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 72215) |
| Enumeration Date | 2008-08-11 |
| Last Update Date | 2021-09-22 |