NPI | 1093774168 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A76892) |
Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: CA A76892) |
Enumeration Date | 2006-03-18 |
Last Update Date | 2010-02-08 |