NPI | 1003007824 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D66464) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036117582) |
Enumeration Date | 2007-08-06 |
Last Update Date | 2020-07-15 |