NPI | 1447261029 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX K7035) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME49484) |
Enumeration Date | 2006-08-10 |
Last Update Date | 2007-07-08 |