NPI | 1750369682 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: OH 35-122767) |
Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: MN 48074) |
207RI0200X Internal Medicine, Infectious Disease (Licence: NJ MA07803400) | |
Enumeration Date | 2005-12-30 |
Last Update Date | 2014-06-26 |