NPI | 1093821340 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA DO.000403) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH AK9743091) |
Enumeration Date | 2006-08-21 |
Last Update Date | 2016-01-20 |