NPI | 1548382849 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MI 5101016877) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101016877) |
Enumeration Date | 2007-04-06 |
Last Update Date | 2018-06-20 |