NPI | 1235361007 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101259479) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0074856) |
Enumeration Date | 2009-08-12 |
Last Update Date | 2025-03-19 |