NPI | 1841267366 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA G145781) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO 37803) |
Enumeration Date | 2006-03-02 |
Last Update Date | 2017-04-19 |