NPI | 1134653165 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: CA A159280) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A159280) |
Enumeration Date | 2017-04-17 |
Last Update Date | 2024-09-30 |