NPI | 1013072156 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: DE c1-0005652) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 181861) |
Enumeration Date | 2006-12-27 |
Last Update Date | 2011-11-08 |