NPI | 1639149040 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: AR E2649) |
Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: TX F4219) |
Enumeration Date | 2006-01-26 |
Last Update Date | 2015-05-20 |