NPI | 1073006946 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 63550) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 010108) |
Enumeration Date | 2018-06-14 |
Last Update Date | 2021-08-12 |