NPI | 1083147516 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D88979) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN D88979) |
Enumeration Date | 2017-04-11 |
Last Update Date | 2022-01-11 |