| NPI | 1376047589 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 7322020) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: IL 036156594) |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2021-06-08 |