NPI | 1144330051 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A68591) |
Additional Taxonomies | 174400000X Specialist (Licence: CA A68591) |
Enumeration Date | 2006-08-30 |
Last Update Date | 2009-12-22 |