NPI | 1740549088 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: PA MD457279) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD457279) |
Enumeration Date | 2012-05-07 |
Last Update Date | 2019-09-27 |