NPI | 1831370345 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D0005151) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: DC MD25658) |
Enumeration Date | 2007-11-27 |
Last Update Date | 2008-02-13 |