| NPI | 1023278769 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: IL 036126289) | 
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: MN 103894) | 
| Enumeration Date | 2008-06-16 | 
| Last Update Date | 2021-03-12 |