NPI | 1922092667 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NH 9158) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: ME DO13001) |
Enumeration Date | 2005-09-08 |
Last Update Date | 2013-09-26 |