| NPI | 1659697100 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine Infectious Disease (Licence: IL 036146001) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO 52499) |
| Enumeration Date | 2010-04-08 |
| Last Update Date | 2018-07-17 |