| NPI | 1750617916 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01071778A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125057023) |
| Enumeration Date | 2009-10-22 |
| Last Update Date | 2022-11-16 |