NPI | 1083080535 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D0085304) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: DC MD046182) |
Enumeration Date | 2015-08-19 |
Last Update Date | 2018-12-21 |