NPI | 1861478299 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: AZ 53831) |
Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: CO 40316) |
Enumeration Date | 2005-12-18 |
Last Update Date | 2022-12-19 |