NPI | 1093758047 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA G89016) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036062010) |
Enumeration Date | 2006-06-14 |
Last Update Date | 2013-07-16 |