NPI | 1720293970 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: PA MD438586) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA 187709) |
Enumeration Date | 2007-05-11 |
Last Update Date | 2013-06-06 |