NPI | 1023011962 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: VA 0101-029045) |
Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: NC 98-01050) |
Enumeration Date | 2005-05-24 |
Last Update Date | 2021-08-16 |