| NPI | 1639699416 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IL 153800) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 272534) |
| Enumeration Date | 2017-06-22 |
| Last Update Date | 2024-03-27 |