NPI | 1265524771 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NH EL11189) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036085210) |
Enumeration Date | 2006-09-29 |
Last Update Date | 2023-02-28 |