NPI | 1558857904 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: NM MD2023-0193) |
Additional Taxonomies | 174400000X Specialist (Licence: NM MD2023-0193) |
Enumeration Date | 2018-07-09 |
Last Update Date | 2023-07-27 |