NPI | 1477525822 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: SC 35368) |
Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: KY 41444) |
207RI0200X Internal Medicine, Infectious Disease (Licence: MN 47834) | |
Enumeration Date | 2006-02-01 |
Last Update Date | 2021-06-30 |