| NPI | 1871596817 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: IL 336-063910) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036-090881) |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2021-04-21 |