NPI | 1548245038 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 36552) |
Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: MA 36552) |
Enumeration Date | 2005-12-07 |
Last Update Date | 2019-01-22 |