NPI | 1598493074 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: FL ME170130) |
Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: NC RTL22-0451) |
Enumeration Date | 2022-08-11 |
Last Update Date | 2025-06-23 |