| NPI | 1902423999 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism (Licence: IL 036164317) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125075742) |
| Enumeration Date | 2020-06-25 |
| Last Update Date | 2023-05-18 |