NPI | 1548528995 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: WV 25873) |
Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: WV 25873) |
Enumeration Date | 2012-04-23 |
Last Update Date | 2022-04-13 |