NPI | 1598784985 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO DR.0054378) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV 9824) |
Enumeration Date | 2006-07-18 |
Last Update Date | 2017-02-08 |