NPI | 1275981441 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D0095205) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 279506) |
Enumeration Date | 2016-05-28 |
Last Update Date | 2024-10-01 |