NPI | 1477580074 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: ND 4232) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 24715) |
Enumeration Date | 2006-06-27 |
Last Update Date | 2012-05-02 |