NPI | 1669459665 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MN 30985) |
Additional Taxonomies | 208D00000X General Practice (Licence: MN 30985) |
Enumeration Date | 2005-12-30 |
Last Update Date | 2020-08-19 |