NPI | 1346207891 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2016-00706) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD043754E) |
Enumeration Date | 2006-04-27 |
Last Update Date | 2016-08-08 |