NPI | 1285096800 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 02007940A) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL OS16196) |
Enumeration Date | 2016-03-23 |
Last Update Date | 2024-09-27 |