NPI | 1235832965 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 77474) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 33345) |
Enumeration Date | 2023-03-22 |
Last Update Date | 2024-08-08 |