NPI | 1366491789 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MN 31523) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 31523) |
Enumeration Date | 2006-05-10 |
Last Update Date | 2016-03-29 |