NPI | 1588649990 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101023931) |
Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: VA 0101023931) |
Enumeration Date | 2005-12-08 |
Last Update Date | 2016-12-08 |