NPI | 1245328749 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD438392) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0065049) |
Enumeration Date | 2006-10-10 |
Last Update Date | 2018-02-22 |