NPI | 1528088937 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA C129586) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 227845) |
Enumeration Date | 2006-07-20 |
Last Update Date | 2014-07-10 |