NPI | 1427058338 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX G3405) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: AR R3602) |
Enumeration Date | 2005-07-21 |
Last Update Date | 2007-07-14 |