| NPI | 1629226089 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01068973A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125053966) |
| Enumeration Date | 2008-08-28 |
| Last Update Date | 2022-12-27 |