NPI | 1912403395 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR DO214705) |
Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: OR DO214705) |
Enumeration Date | 2018-04-04 |
Last Update Date | 2025-08-19 |