NPI | 1194428672 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 77576) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 33359) |
Enumeration Date | 2023-03-23 |
Last Update Date | 2024-08-13 |