NPI | 1477524965 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 026329) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 29773) |
Enumeration Date | 2006-02-01 |
Last Update Date | 2009-06-17 |