| NPI | 1811458227 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: IL 036.163268) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.074612) |
| 208000000X Pediatrics (Licence: IL 125.074612) | |
| 2080H0002X (Licence: IL 036.163268) | |
| Enumeration Date | 2019-03-28 |
| Last Update Date | 2024-09-11 |