NPI | 1225307085 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME126997) |
Additional Taxonomies | 282N00000X General Acute Care Hospital |
Enumeration Date | 2011-12-23 |
Last Update Date | 2023-08-15 |