NPI | 1396710042 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036122417) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 47761) |
Enumeration Date | 2006-02-17 |
Last Update Date | 2010-02-08 |