NPI | 1164835070 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 56259) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10049452) |
Enumeration Date | 2014-06-09 |
Last Update Date | 2024-02-19 |