NPI | 1386648822 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: LA DO 000055) |
Additional Taxonomies | 174400000X Specialist (Licence: LA DO.000055) |
Enumeration Date | 2005-06-13 |
Last Update Date | 2015-10-22 |