NPI | 1508131640 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: FL ME164719) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY TP865) |
207RI0200X Internal Medicine, Infectious Disease (Licence: KY TP865) | |
Enumeration Date | 2012-03-21 |
Last Update Date | 2023-12-12 |