NPI | 1487740254 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301073083) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A79416) |
Enumeration Date | 2006-10-05 |
Last Update Date | 2009-09-02 |