NPI | 1407905292 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NV 6924) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: UT 168964-1205) |
Enumeration Date | 2007-01-09 |
Last Update Date | 2013-04-24 |