NPI | 1003071572 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX R3385) |
Additional Taxonomies | 208600000X Surgery (Licence: TX R3385) |
Enumeration Date | 2008-07-24 |
Last Update Date | 2025-05-13 |