NPI | 1134446446 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: AL 35171) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D75489) |
Enumeration Date | 2010-04-26 |
Last Update Date | 2022-11-14 |