| NPI | 1689674541 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine Infectious Disease (Licence: IL 036069323) |
| Additional Taxonomies | 174400000X Specialist (Licence: IL 036-069323) |
| Enumeration Date | 2005-07-21 |
| Last Update Date | 2021-04-15 |