NPI | 1144487521 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 65670) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 232191) |
Enumeration Date | 2008-05-21 |
Last Update Date | 2016-10-19 |