NPI | 1578844593 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: NY 1420461) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 1420461) |
Enumeration Date | 2011-09-03 |
Last Update Date | 2011-09-03 |