NPI | 1295734234 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: DC MD035898) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0058922) |
Enumeration Date | 2005-07-20 |
Last Update Date | 2007-08-16 |