NPI | 1013292622 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: AL 33511) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL MD.33511) |
Enumeration Date | 2011-10-14 |
Last Update Date | 2018-03-02 |