NPI | 1255610424 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A155148) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101256404) |
Enumeration Date | 2011-08-05 |
Last Update Date | 2023-09-12 |