| NPI | 1720572506 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: IL 036164290) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP04438) |
| Enumeration Date | 2018-06-15 |
| Last Update Date | 2024-11-01 |