NPI | 1013919943 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: IL 036114488) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 038229) |
Enumeration Date | 2005-08-11 |
Last Update Date | 2012-05-22 |