NPI | 1215048848 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01063118A) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 36105572) |
Enumeration Date | 2006-08-31 |
Last Update Date | 2007-07-08 |