NPI | 1205867058 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME0081881) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: AK 5624) |
Enumeration Date | 2006-07-06 |
Last Update Date | 2016-08-15 |