| NPI | 1649417627 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: TX N7525) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125051146) |
| Enumeration Date | 2009-01-13 |
| Last Update Date | 2011-05-02 |