NPI | 1255368650 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME76665) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL 76665) |
Enumeration Date | 2006-06-28 |
Last Update Date | 2012-12-27 |