NPI | 1275777963 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101255065) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0074313) |
Enumeration Date | 2009-04-24 |
Last Update Date | 2023-11-27 |