NPI | 1649899394 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: PA OT020210) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL 7969) |
207R00000X Internal Medicine (Licence: FL UO7969) | |
208600000X Surgery (Licence: PA OT020210) | |
Enumeration Date | 2020-04-13 |
Last Update Date | 2024-07-30 |