NPI | 1255746426 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL OS14816) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0116027337) |
Enumeration Date | 2014-06-26 |
Last Update Date | 2019-05-21 |