NPI | 1174185987 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: AR E-15671) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125074006) |
Enumeration Date | 2019-07-01 |
Last Update Date | 2022-08-11 |