NPI | 1245224310 |
---|---|
Entity Type | Individual |
Gender | N/A |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IA 27859) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036-066279) |
Enumeration Date | 2005-09-06 |
Last Update Date | 2023-03-07 |