NPI | 1174708341 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MI 4301095237) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT187663) |
Enumeration Date | 2008-01-07 |
Last Update Date | 2014-09-26 |