NPI | 1821379512 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NH 16571) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125060327) |
Enumeration Date | 2011-09-08 |
Last Update Date | 2014-10-03 |