NPI | 1619356961 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MI 5151015314) |
Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: NJ NA) |
Enumeration Date | 2015-05-20 |
Last Update Date | 2021-06-24 |