NPI | 1013290451 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036155946) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI MD14980) |
Enumeration Date | 2011-09-22 |
Last Update Date | 2024-10-15 |