NPI | 1639473515 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL OS10984) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL DO1156) |
Enumeration Date | 2011-01-06 |
Last Update Date | 2012-02-02 |