NPI | 1841200821 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI MK027675) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME83376) |
Enumeration Date | 2006-08-09 |
Last Update Date | 2010-05-12 |