NPI | 1578862751 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: NY 275055) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 275055) |
Enumeration Date | 2011-03-27 |
Last Update Date | 2018-02-07 |