NPI | 1700996295 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: FL ME165236) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 287973) |
Enumeration Date | 2006-08-30 |
Last Update Date | 2023-11-15 |