NPI | 1821409038 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D84033) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MD D84033) |
207RI0200X Internal Medicine, Infectious Disease (Licence: MD D84033) | |
Enumeration Date | 2014-05-12 |
Last Update Date | 2019-09-27 |