NPI | 1194793166 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: FL ME140622) |
Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: PR 13107) |
207RI0200X Internal Medicine, Infectious Disease (Licence: FL ACN1019) | |
Enumeration Date | 2006-03-08 |
Last Update Date | 2019-10-11 |