NPI | 1700854148 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MD D0020604) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0020604) |
Enumeration Date | 2006-03-10 |
Last Update Date | 2022-07-21 |