NPI | 1497922389 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D0055643) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME89694) |
Enumeration Date | 2008-05-11 |
Last Update Date | 2008-05-11 |