NPI | 1801917372 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 234624) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA L-224875) |
Enumeration Date | 2007-04-03 |
Last Update Date | 2009-12-09 |