| NPI | 1942495874 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 202K00000X (Licence: IL 036105973) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036105973) |
| Enumeration Date | 2007-09-13 |
| Last Update Date | 2018-10-24 |