NPI | 1053378000 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA G45522) |
Additional Taxonomies | 174400000X Specialist (Licence: CA G45522) |
Enumeration Date | 2006-04-26 |
Last Update Date | 2019-12-17 |