NPI | 1952498792 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D71384) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD429933) |
Enumeration Date | 2006-10-05 |
Last Update Date | 2013-01-23 |