NPI | 1669684684 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 41883) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 77196) |
Enumeration Date | 2007-05-03 |
Last Update Date | 2016-05-06 |