NPI | 1821288911 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: CO 46169) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 232691) |
Enumeration Date | 2007-07-26 |
Last Update Date | 2021-10-20 |