| NPI | 1750344214 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 36078832) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036078832) |
| Enumeration Date | 2006-04-07 |
| Last Update Date | 2024-07-30 |