| NPI | 1740628635 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: IL 036140336) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME147843) |
| Enumeration Date | 2013-06-12 |
| Last Update Date | 2025-08-21 |