| NPI | 1790983690 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 125052120) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: IN 01069941A) |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2021-12-30 |