NPI | 1063531259 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D51024) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0051024) |
Enumeration Date | 2007-03-28 |
Last Update Date | 2013-12-31 |