| NPI | 1295265262 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: IL 036151414)  | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125071242)  | 
| Enumeration Date | 2017-06-13 | 
| Last Update Date | 2022-07-21 |