NPI | 1235513672 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: AL 42133) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301108363) |
Enumeration Date | 2015-07-15 |
Last Update Date | 2024-01-29 |