| NPI | 1881170322 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: IL 036152430) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036152430) |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MO 2019022791) | |
| Enumeration Date | 2018-07-18 |
| Last Update Date | 2023-09-21 |