NPI | 1386917789 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: FL ME130802) |
Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: IA 40042) |
207RI0200X Internal Medicine, Infectious Disease (Licence: AZ 51641) | |
Enumeration Date | 2012-02-15 |
Last Update Date | 2021-03-25 |