NPI | 1194107987 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NH 18877) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 264334) |
Enumeration Date | 2015-06-29 |
Last Update Date | 2024-10-11 |