NPI | 1013133628 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 24303) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 024303) |
Enumeration Date | 2007-04-18 |
Last Update Date | 2016-12-28 |