NPI | 1164266003 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 80292) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 34266) |
Enumeration Date | 2024-06-25 |
Last Update Date | 2025-08-26 |