NPI | 1720141153 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: CA A49951) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A49951) |
Enumeration Date | 2006-12-18 |
Last Update Date | 2017-09-13 |