NPI | 1649250622 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MD D0036095) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0036095) |
207R00000X Internal Medicine (Licence: PA MD040278E) | |
207RI0200X Internal Medicine, Infectious Disease (Licence: PA MD040278E) | |
Enumeration Date | 2006-01-18 |
Last Update Date | 2010-04-19 |