NPI | 1073593216 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO 48508) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NM MD2006-0198) |
Enumeration Date | 2006-01-21 |
Last Update Date | 2016-11-23 |