NPI | 1811101033 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 036346) |
Additional Taxonomies | 2083P0901X Preventive Medicine Public Health & General Preventive Medicine (Licence: GA 036346) |
Enumeration Date | 2007-05-09 |
Last Update Date | 2007-07-08 |