NPI | 1942214614 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 047187) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 47187) |
Enumeration Date | 2006-07-28 |
Last Update Date | 2015-10-20 |