NPI | 1528252624 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: FL OS10735) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL OS10735) |
Enumeration Date | 2007-08-31 |
Last Update Date | 2011-08-11 |