NPI | 1730170648 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: KS 04-13506) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO R4286) |
Enumeration Date | 2005-10-31 |
Last Update Date | 2007-07-09 |