NPI | 1922070622 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD020707E) |
Additional Taxonomies | 174400000X Specialist (Licence: PA MD020707E) |
Enumeration Date | 2006-02-06 |
Last Update Date | 2007-11-02 |