| NPI | 1588981526 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: IL 036138133) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: CT 52109) |
| Enumeration Date | 2010-04-30 |
| Last Update Date | 2015-07-03 |