NPI | 1104812528 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: IL 036-103864) |
Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: IA 35821) |
Enumeration Date | 2005-09-21 |
Last Update Date | 2021-12-21 |