| NPI | 1851913503 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: IL 036164136) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036.1614136) |
| Enumeration Date | 2020-05-15 |
| Last Update Date | 2024-07-03 |