| NPI | 1740546779 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: NY 284252) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036147415) |
| 207R00000X Internal Medicine (Licence: NY 284252) | |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: IL 036147415) | |
| 208000000X Pediatrics (Licence: NY 284252) | |
| 208000000X Pediatrics (Licence: IL 036147415) | |
| Enumeration Date | 2012-04-04 |
| Last Update Date | 2024-08-11 |