NPI | 1194916445 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 57006) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301090168) |
Enumeration Date | 2007-08-01 |
Last Update Date | 2014-07-07 |