NPI | 1093989618 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A126186) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 11013050) |
207R00000X Internal Medicine (Licence: NV 13124) | |
Enumeration Date | 2008-04-15 |
Last Update Date | 2023-12-08 |