| NPI | 1154523355 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: IL 036-110263) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036-110263) |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2010-03-17 |