| NPI | 1508351693 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: WA MD61427532) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125073392) |
| Enumeration Date | 2018-06-29 |
| Last Update Date | 2023-06-08 |