NPI | 1881905370 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IA MD-41575) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 6336) |
Enumeration Date | 2010-06-29 |
Last Update Date | 2014-10-13 |