NPI | 1215083191 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: HI MD-5040) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 39210) |
Enumeration Date | 2007-01-25 |
Last Update Date | 2025-02-27 |