NPI | 1851749964 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: PR 19835) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PR 19835) |
Enumeration Date | 2016-05-31 |
Last Update Date | 2025-08-21 |