NPI | 1477554988 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A85467) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 200500328) |
Enumeration Date | 2005-08-09 |
Last Update Date | 2007-07-09 |