NPI | 1801887278 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: DC MD040177) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 200501641) |
Enumeration Date | 2005-11-03 |
Last Update Date | 2019-08-08 |