| NPI | 1942485735 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: IL 036-119752) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036119752) |
| 207R00000X Internal Medicine (Licence: AZ 40260) | |
| 207R00000X Internal Medicine (Licence: IL 036-119752) | |
| Enumeration Date | 2007-12-31 |
| Last Update Date | 2013-09-13 |