NPI | 1275562076 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: OK 15416) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO R4F46) |
Enumeration Date | 2006-07-02 |
Last Update Date | 2012-11-01 |