NPI | 1497843106 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101248298) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX M0302) |
Enumeration Date | 2006-10-10 |
Last Update Date | 2011-05-06 |