NPI | 1619367943 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: NE 29444) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 29444) |
Enumeration Date | 2015-01-26 |
Last Update Date | 2020-11-20 |