NPI | 1881713378 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: DC MD039947) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA G83536) |
Enumeration Date | 2007-03-28 |
Last Update Date | 2013-03-26 |