| NPI | 1790125367 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: IL 036-153986) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301103030) |
| Enumeration Date | 2013-06-27 |
| Last Update Date | 2021-03-01 |