| NPI | 1942313614 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: IL 036-108556) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036-108556) |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2021-04-26 |