NPI | 1356330377 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: OR MD15905) |
Additional Taxonomies | 208000000X Pediatrics (Licence: OR MD15905) |
Enumeration Date | 2005-10-21 |
Last Update Date | 2007-07-08 |