| NPI | 1659669794 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IL 036140548) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2011020101) |
| 207R00000X Internal Medicine (Licence: IL 036140548) | |
| Enumeration Date | 2011-07-11 |
| Last Update Date | 2016-08-17 |