NPI | 1811068901 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA c55670) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 232524) |
Enumeration Date | 2006-11-13 |
Last Update Date | 2013-10-16 |