| NPI | 1689786311 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 1298-320) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036096523) |
| 2083X0100X Preventive Medicine Occupational Medicine (Licence: WI 1298-320) | |
| 2083X0100X Preventive Medicine Occupational Medicine (Licence: IL 036096523) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2022-12-05 |