NPI | 1083683833 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NH 13450) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 000317) |
Enumeration Date | 2006-03-15 |
Last Update Date | 2022-01-27 |