NPI | 1679538110 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: FL ME127542) |
Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: RI MD10814) |
Enumeration Date | 2006-04-18 |
Last Update Date | 2016-08-16 |