NPI | 1265600795 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: CA 20A10166) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 20A10166) |
Enumeration Date | 2008-02-19 |
Last Update Date | 2021-06-07 |