| NPI | 1689029654 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036153349) |
| Additional Taxonomies | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: IL 036153349) |
| Enumeration Date | 2016-04-27 |
| Last Update Date | 2020-10-20 |