NPI | 1982664884 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: NM 97-205) |
Additional Taxonomies | 174400000X Specialist (Licence: NM H6105) |
Enumeration Date | 2006-03-24 |
Last Update Date | 2020-12-23 |