NPI | 1407148760 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A131642) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 49165) |
Enumeration Date | 2011-05-05 |
Last Update Date | 2015-10-01 |