NPI | 1578558292 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: LA 018859) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 018859) |
Enumeration Date | 2005-09-19 |
Last Update Date | 2011-03-15 |