NPI | 1124174875 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D29654) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: DC MD13716) |
Enumeration Date | 2007-01-26 |
Last Update Date | 2007-07-08 |