| NPI | 1790737781 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IL 036089871) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036-089871) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2018-08-30 |