NPI | 1093209611 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01085637A) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301114549) |
207R00000X Internal Medicine (Licence: MI 4351034764) | |
Enumeration Date | 2018-06-18 |
Last Update Date | 2022-10-15 |