NPI | 1740563907 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: GA 68977) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 68977) |
Enumeration Date | 2011-09-23 |
Last Update Date | 2016-06-22 |