NPI | 1295992311 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD H0076948) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: DC DO034287) |
Enumeration Date | 2008-05-16 |
Last Update Date | 2013-12-12 |