NPI | 1326144643 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036045737) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 36-045737) |
Enumeration Date | 2006-09-15 |
Last Update Date | 2019-03-06 |