NPI | 1144255720 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: FL ME118844) |
Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: AR E-2565) |
2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine (Licence: FL ME118844) | |
Enumeration Date | 2006-07-11 |
Last Update Date | 2019-09-24 |