NPI | 1023055290 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NM 2021-1051) |
Additional Taxonomies | 174400000X Specialist (Licence: TN 0000028293) |
Enumeration Date | 2006-05-31 |
Last Update Date | 2022-10-28 |