NPI | 1154393148 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0200X Internal Medicine Infectious Disease (Licence: WV 12589) |
Additional Taxonomies | 2083A0100X Preventive Medicine Aerospace Medicine (Licence: WV 12589) |
Enumeration Date | 2006-02-03 |
Last Update Date | 2019-03-25 |