NPI | 1427148386 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 34847) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0057892) |
Enumeration Date | 2006-10-13 |
Last Update Date | 2014-06-05 |