NPI | 1225040603 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D50220) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101049980) |
Enumeration Date | 2006-08-13 |
Last Update Date | 2007-11-28 |