NPI | 1639276140 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A94134) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 35650) |
Enumeration Date | 2006-09-19 |
Last Update Date | 2018-03-17 |