NPI | 1548230287 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA C55423) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 0430798) |
Enumeration Date | 2006-01-25 |
Last Update Date | 2012-11-02 |