NPI | 1720002405 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D0045148) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME73687) |
Enumeration Date | 2006-07-27 |
Last Update Date | 2016-02-02 |