NPI | 1104139732 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RI0200X Internal Medicine Infectious Disease (Licence: TX R8147) |
Additional Taxonomies | 207RI0200X Internal Medicine Infectious Disease (Licence: IL 036.133199) |
Enumeration Date | 2010-07-25 |
Last Update Date | 2022-03-10 |