NPI | 1134979354 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 125.083863) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125.083863) |
Enumeration Date | 2024-03-22 |
Last Update Date | 2024-07-04 |