NPI | 1023577939 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036166298) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 330478) |
Enumeration Date | 2019-03-19 |
Last Update Date | 2023-10-04 |