| NPI | 1134417553 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: CO DR.0070012) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036139727) | 
| 207RI0200X Internal Medicine, Infectious Disease (Licence: IL 036139727) | |
| Enumeration Date | 2011-07-19 | 
| Last Update Date | 2023-05-09 |