NPI | 1235752759 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 5101027205) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5151014548) |
Enumeration Date | 2020-05-19 |
Last Update Date | 2024-06-20 |