NPI | 1982648622 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: AL 00007022) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL 00007022) |
Enumeration Date | 2006-06-15 |
Last Update Date | 2019-12-03 |