| NPI | 1689060188 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: IL 036-1538190) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: WI 69069-20) |
| Enumeration Date | 2015-04-10 |
| Last Update Date | 2026-05-08 |