| NPI | 1790798015 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: IL 036110498) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301083819) |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MI 4301083819) | |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2014-05-08 |