NPI | 1477967578 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: TX S7446) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX S7446) |
207R00000X Internal Medicine (Licence: MI 4301104709) | |
207RI0200X Internal Medicine, Infectious Disease (Licence: MN 61854) | |
Enumeration Date | 2014-06-17 |
Last Update Date | 2022-04-21 |