NPI | 1912183682 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101249593) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0066982) |
Enumeration Date | 2008-01-12 |
Last Update Date | 2013-12-23 |