NPI | 1083828750 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: AZ 45091) |
Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: LA 203365) |
Enumeration Date | 2007-05-10 |
Last Update Date | 2014-10-02 |