NPI | 1750341400 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: AL 21622) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OK 20671) |
Enumeration Date | 2006-03-26 |
Last Update Date | 2007-07-08 |