NPI | 1275570681 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101235180) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A 83213) |
Enumeration Date | 2006-06-02 |
Last Update Date | 2007-07-08 |