NPI | 1386964468 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: NC 2015-02323) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10038074) |
207RI0200X Internal Medicine, Infectious Disease (Licence: MN 57073) | |
207RI0200X Internal Medicine, Infectious Disease (Licence: MN 106885) | |
Enumeration Date | 2010-06-11 |
Last Update Date | 2018-03-17 |