NPI | 1295053239 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: FL ME117014) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME117014) |
207R00000X Internal Medicine (Licence: IL 036124994) | |
Enumeration Date | 2010-05-14 |
Last Update Date | 2014-01-13 |