NPI | 1104289586 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: CA 199882) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 280901) |
207RI0200X Internal Medicine, Infectious Disease (Licence: MA 280901) | |
Enumeration Date | 2016-04-01 |
Last Update Date | 2024-12-12 |