NPI | 1780034363 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: FL OS16332) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC LL39785) |
Enumeration Date | 2016-06-15 |
Last Update Date | 2021-10-21 |