NPI | 1083673594 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01059339) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 0361188481) |
Enumeration Date | 2006-03-22 |
Last Update Date | 2020-11-19 |