NPI | 1376859884 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301103086) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2010013999) |
Enumeration Date | 2010-08-20 |
Last Update Date | 2016-06-14 |