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 |