NPI | 1679525133 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME93443) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL 00026229) |
Enumeration Date | 2006-05-16 |
Last Update Date | 2010-06-24 |