NPI | 1699976167 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: AZ 40780) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 40780) |
Enumeration Date | 2007-05-30 |
Last Update Date | 2014-05-20 |