NPI | 1184402455 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: TX U8366) |
Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: NY 324444) |
Enumeration Date | 2023-09-18 |
Last Update Date | 2024-03-04 |