NPI | 1598971038 |
---|---|
Former Name | TIMOTHY NIILO DYGERT |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OR MD28409) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD28409) |
Enumeration Date | 2007-05-14 |
Last Update Date | 2016-10-21 |