NPI | 1366495616 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2002014803) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A78393) |
Enumeration Date | 2006-05-18 |
Last Update Date | 2014-02-27 |