NPI | 1659305548 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301095154) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036107956) |
Enumeration Date | 2006-07-10 |
Last Update Date | 2017-05-12 |