NPI | 1942261490 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 80436) |
Additional Taxonomies | 193400000X Single Specialty (Licence: MA 80436) |
Enumeration Date | 2006-03-31 |
Last Update Date | 2016-10-04 |