NPI | 1184712077 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: KS 04-18169) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO R9297) |
Enumeration Date | 2006-10-10 |
Last Update Date | 2007-07-08 |