NPI | 1184858029 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: UT 5292302-1205) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: ID M-11677) |
Enumeration Date | 2009-05-06 |
Last Update Date | 2024-05-23 |