NPI | 1063577310 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D20367) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: DC MD7229) |
207R00000X Internal Medicine (Licence: VA 0101035431) | |
Enumeration Date | 2006-12-27 |
Last Update Date | 2022-01-08 |