NPI | 1992985949 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 47622) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA pgy.1.tul-im) |
Enumeration Date | 2007-11-07 |
Last Update Date | 2012-05-02 |