| NPI | 1629238498 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: IL 036-125254) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036.125254) |
| 208000000X Pediatrics (Licence: IL 036.125254) | |
| Enumeration Date | 2008-06-14 |
| Last Update Date | 2021-04-28 |