| NPI | 1083028880 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine Infectious Disease (Licence: IL 036.143608) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2014018323) |
| Enumeration Date | 2014-06-19 |
| Last Update Date | 2019-06-18 |