NPI | 1972653277 |
---|---|
Other Name | STEPHEN A WOHLGEMUTH |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101032752) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: WV 15310) |
Enumeration Date | 2007-01-11 |
Last Update Date | 2009-06-25 |