NPI | 1851778799 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: FL ME143975) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL TRN22022) |
Enumeration Date | 2015-04-29 |
Last Update Date | 2022-07-22 |