NPI | 1245257062 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: IL 036110692) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036110692) |
Enumeration Date | 2006-07-16 |
Last Update Date | 2013-05-14 |