NPI | 1932639622 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MA 285455) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 285455) |
Enumeration Date | 2017-06-14 |
Last Update Date | 2023-06-29 |