NPI | 1144320037 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 3646089) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 3646089) |
Enumeration Date | 2006-09-22 |
Last Update Date | 2008-04-14 |