NPI | 1831417799 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME115357) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY R2481) |
Enumeration Date | 2010-05-17 |
Last Update Date | 2013-07-31 |