NPI | 1336151570 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA G66368) |
Additional Taxonomies | 174400000X Specialist (Licence: CA G66368) |
Enumeration Date | 2006-08-13 |
Last Update Date | 2018-12-05 |