NPI | 1154434637 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 44362) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA R7917) |
Enumeration Date | 2006-08-17 |
Last Update Date | 2023-04-06 |