NPI | 1093821605 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036.060205) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036060205) |
Enumeration Date | 2006-08-23 |
Last Update Date | 2014-01-22 |