NPI | 1124481486 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MA 284167) |
Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: MA 275850) |
Enumeration Date | 2016-04-03 |
Last Update Date | 2021-07-27 |