NPI | 1497719306 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: TX P3662) |
Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: KY 48600) |
Enumeration Date | 2006-04-17 |
Last Update Date | 2018-05-14 |