NPI | 1154807311 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: TX R9649) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 142560) |
207RI0200X Internal Medicine, Infectious Disease (Licence: CA A142560) | |
Enumeration Date | 2018-07-11 |
Last Update Date | 2019-02-07 |