| NPI | 1659997294 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: IL 036.165356) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2020015123) |
| Enumeration Date | 2020-06-19 |
| Last Update Date | 2023-06-30 |