NPI | 1235120643 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: HI MD-13475) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX F7264) |
Enumeration Date | 2005-11-03 |
Last Update Date | 2007-07-08 |