NPI | 1104801489 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: ME MD14027) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA 28731) |
207RI0200X Internal Medicine, Infectious Disease (Licence: IA 28731) | |
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: IA 28731) | |
Enumeration Date | 2005-12-09 |
Last Update Date | 2022-09-12 |