NPI | 1023691912 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 011787) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO dr.0069402) |
Enumeration Date | 2021-04-29 |
Last Update Date | 2025-08-08 |