NPI | 1205997087 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301100181) |
Additional Taxonomies | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: TN MD 021873) |
Enumeration Date | 2006-12-13 |
Last Update Date | 2013-04-16 |