NPI | 1699935650 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: NY 251131) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA08464300) |
207R00000X Internal Medicine (Licence: KY 44385) | |
207RI0200X Internal Medicine, Infectious Disease (Licence: IN 01065411A) | |
Enumeration Date | 2008-06-12 |
Last Update Date | 2021-07-21 |