| NPI | 1922681618 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: IL 036.170678) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: MI 5101029595) |
| Enumeration Date | 2021-04-30 |
| Last Update Date | 2026-06-30 |