NPI | 1023146230 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX E7783) |
Additional Taxonomies | 174400000X Specialist (Licence: TX E7783) |
Enumeration Date | 2007-03-01 |
Last Update Date | 2015-10-16 |