| NPI | 1346243730 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: IL 036-115015) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 32007) |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2018-11-16 |