| NPI | 1811486970 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 82159) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.073023) |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: IL 036155218) | |
| Enumeration Date | 2018-05-04 |
| Last Update Date | 2023-07-24 |