NPI | 1912265190 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: WA MD60829082) |
Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: OR MD171956) |
Enumeration Date | 2012-04-25 |
Last Update Date | 2025-08-04 |