NPI | 1558980664 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: TX T5523) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX T5523) |
Enumeration Date | 2020-04-09 |
Last Update Date | 2025-06-23 |