NPI | 1134292493 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D0042033) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: DC MD19316) |
Enumeration Date | 2006-11-16 |
Last Update Date | 2011-11-14 |