| NPI | 1760619969 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: IL 036130144) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125:056395) |
| Enumeration Date | 2009-06-15 |
| Last Update Date | 2021-12-20 |