NPI | 1487677886 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 34299) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME108755) |
Enumeration Date | 2006-07-26 |
Last Update Date | 2014-10-13 |