| NPI | 1720054950 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: IL 036-133426) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036133426) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: NC 2023-00338) | |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: AZ 45650) | |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2023-04-12 |