NPI | 1881751410 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NM 2002 0248) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA G073467) |
Enumeration Date | 2007-01-02 |
Last Update Date | 2016-04-27 |