NPI | 1154511079 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA DO.000048) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: LA 000048) |
Enumeration Date | 2007-07-26 |
Last Update Date | 2009-09-29 |