| NPI | 1902197312 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: IL 036166138) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: OR MD195130) |
| Enumeration Date | 2011-04-20 |
| Last Update Date | 2024-02-26 |