NPI | 1326779067 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MN 79198) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 294132) |
Enumeration Date | 2022-06-22 |
Last Update Date | 2025-05-13 |