NPI | 1770678302 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: AL 13245) |
Additional Taxonomies | 2083P0901X Preventive Medicine Public Health & General Preventive Medicine (Licence: AL 13245) |
Enumeration Date | 2006-10-03 |
Last Update Date | 2012-01-06 |