NPI | 1750588802 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: PR 16705) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PR 16705) |
Enumeration Date | 2007-07-02 |
Last Update Date | 2009-12-02 |