NPI | 1477804730 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: PR 28962R) |
Additional Taxonomies | 282N00000X General Acute Care Hospital |
Enumeration Date | 2012-09-27 |
Last Update Date | 2015-08-19 |