NPI | 1487762084 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 035609) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 19812) |
Enumeration Date | 2006-08-25 |
Last Update Date | 2015-07-31 |