NPI | 1649252305 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MA 230404) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 230404) |
Enumeration Date | 2005-11-17 |
Last Update Date | 2014-05-22 |