NPI | 1144661034 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO 0005302) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125063456) |
Enumeration Date | 2013-07-09 |
Last Update Date | 2015-04-02 |