NPI | 1255372181 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA C150664) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN MC16944) |
Enumeration Date | 2006-06-10 |
Last Update Date | 2022-07-21 |