NPI | 1407874357 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME101036) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036-109016) |
Enumeration Date | 2006-07-18 |
Last Update Date | 2018-10-08 |