NPI | 1023546009 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: CA A172199) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A172199) |
Enumeration Date | 2017-06-02 |
Last Update Date | 2025-08-01 |