NPI | 1780656512 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: CA A54499) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A54499) |
Enumeration Date | 2006-02-06 |
Last Update Date | 2019-07-09 |