NPI | 1659437572 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME129274) |
Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: FL ME129274) |
207RI0200X Internal Medicine, Infectious Disease (Licence: MA 54014) | |
Enumeration Date | 2006-12-28 |
Last Update Date | 2024-11-18 |