| NPI | 1760423552 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 36-099884) |
| Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: IL 036-099884) |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2021-04-23 |