NPI | 1861557043 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: DC MD13778) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101037057) |
207R00000X Internal Medicine (Licence: MD D0031124) | |
Enumeration Date | 2006-12-27 |
Last Update Date | 2011-11-09 |