NPI | 1215342621 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101267728) |
Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: VA 0101267728) |
207RI0200X Internal Medicine, Infectious Disease (Licence: AL 36128) | |
Enumeration Date | 2014-06-24 |
Last Update Date | 2019-09-13 |