NPI | 1114103124 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: CA A99653) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A99653) |
Enumeration Date | 2008-01-21 |
Last Update Date | 2021-06-24 |