| NPI | 1154610491 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: IL 036134931) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036134931) |
| Enumeration Date | 2011-04-06 |
| Last Update Date | 2017-12-13 |