| NPI | 1578637245 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: IN 01042402A) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: IL 36-083429) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2021-05-19 |