| NPI | 1871585588 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: IL 036169067) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX H5171) |
| Enumeration Date | 2005-08-18 |
| Last Update Date | 2024-04-04 |