| NPI | 1750352753 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 0361070006) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036107806) |
| Enumeration Date | 2006-01-28 |
| Last Update Date | 2009-07-27 |