NPI | 1669403341 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MD D0082137) |
Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: OH 35083321) |
207RI0200X Internal Medicine, Infectious Disease (Licence: TX V2379) | |
Enumeration Date | 2006-07-05 |
Last Update Date | 2025-08-27 |