NPI | 1275511594 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: GA 062553) |
Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: MA 213434) |
Enumeration Date | 2006-01-06 |
Last Update Date | 2015-09-03 |