NPI | 1134376072 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: TN MD44131) |
Additional Taxonomies | 174400000X Specialist (Licence: TN 44131) |
Enumeration Date | 2008-08-21 |
Last Update Date | 2022-03-16 |