NPI | 1699972984 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME102534) |
Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: FL ME102534) |
Enumeration Date | 2007-06-29 |
Last Update Date | 2017-01-12 |