NPI | 1679843601 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NH 15595) |
Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: NH 15595) |
Enumeration Date | 2012-01-06 |
Last Update Date | 2012-04-09 |