NPI | 1841354172 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY 18569) |
Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: KY 18569) |
Enumeration Date | 2006-12-21 |
Last Update Date | 2014-07-15 |