| NPI | 1902859036 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: IL 036065742) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036-065742) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2021-03-31 |