NPI | 1740223601 |
---|---|
Entity Type | Individual |
Gender | N/A |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: KS 04-20727) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO R8N55) |
Enumeration Date | 2006-06-14 |
Last Update Date | 2009-11-20 |