| NPI | 1659537066 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: DC MD046126) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036133081) |
| Enumeration Date | 2008-08-05 |
| Last Update Date | 2018-10-22 |