| NPI | 1982733507 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: IL 036087155) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036-087155) |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2025-07-30 |