NPI | 1285609784 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: FL ME0173357) |
Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: GA 076675) |
207RI0200X Internal Medicine, Infectious Disease (Licence: TX L3801) | |
Enumeration Date | 2006-02-20 |
Last Update Date | 2025-10-06 |