NPI | 1669431029 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: NY 002101) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 002101) |
Enumeration Date | 2006-03-22 |
Last Update Date | 2013-01-17 |