NPI | 1023182037 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301096120) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA ML20008789) |
Enumeration Date | 2006-11-20 |
Last Update Date | 2020-10-23 |