| NPI | 1407961303 |
|---|---|
| Former Name | SCOTT L PETERSON |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MA 228409) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 228409) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2011-06-06 |