NPI | 1265590525 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A80963) |
Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: CA A80963) |
Enumeration Date | 2006-12-05 |
Last Update Date | 2020-06-22 |