NPI | 1710145123 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: FL ME120442) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME120442) |
Enumeration Date | 2008-06-02 |
Last Update Date | 2021-03-30 |