NPI | 1659513992 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD024597E) |
Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: PA MD024597E) |
Enumeration Date | 2009-04-01 |
Last Update Date | 2019-03-20 |