NPI | 1033409040 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MI 4301114297) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301114297) |
207RI0200X Internal Medicine, Infectious Disease (Licence: WA MD60394350) | |
Enumeration Date | 2011-04-11 |
Last Update Date | 2020-02-10 |