| NPI | 1851387955 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: IL 036-067225) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: IA 34417) |
| Enumeration Date | 2005-09-23 |
| Last Update Date | 2021-12-21 |