NPI | 1326271909 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036132637) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125056216) |
Enumeration Date | 2009-08-28 |
Last Update Date | 2013-09-25 |