NPI | 1770895328 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: IL 036.140945) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 244662) |
Enumeration Date | 2010-07-12 |
Last Update Date | 2016-08-26 |