NPI | 1144480138 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 250364) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NH 15576) |
Enumeration Date | 2008-06-12 |
Last Update Date | 2021-07-27 |