| NPI | 1750901500 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: IL 036164033) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.075665) |
| Enumeration Date | 2020-04-22 |
| Last Update Date | 2025-10-01 |