NPI | 1033214374 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME115675) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 31757) |
Enumeration Date | 2006-09-13 |
Last Update Date | 2013-06-06 |