| NPI | 1902835697 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD60616133) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036109544) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2023-10-25 |