NPI | 1336217736 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: DC MD3540) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101032769) |
207R00000X Internal Medicine (Licence: MD D14888) | |
Enumeration Date | 2006-12-01 |
Last Update Date | 2007-07-08 |