NPI | 1629507611 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: CO DR.0068164) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX R9828) |
207RI0200X Internal Medicine, Infectious Disease (Licence: UT 11741890-1205) | |
Enumeration Date | 2017-06-05 |
Last Update Date | 2022-08-05 |