NPI | 1932179595 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 00A618920) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA a61892) |
Enumeration Date | 2006-01-25 |
Last Update Date | 2010-03-24 |