NPI | 1568656577 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RI0200X Internal Medicine Infectious Disease (Licence: NY 181108) |
Additional Taxonomies | 207RI0200X Internal Medicine Infectious Disease (Licence: DC MD035462) |
207RI0200X Internal Medicine Infectious Disease (Licence: TX M8906) | |
Enumeration Date | 2007-09-03 |
Last Update Date | 2009-09-21 |