NPI | 1821094772 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC 34202) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0050328) |
Enumeration Date | 2005-06-24 |
Last Update Date | 2014-02-27 |