NPI | 1073777041 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A106925) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125051057) |
Enumeration Date | 2008-07-17 |
Last Update Date | 2009-09-04 |