NPI | 1922095348 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NH 18734) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 228646) |
Enumeration Date | 2005-09-30 |
Last Update Date | 2019-02-06 |