NPI | 1285608315 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036064478) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 36064478) |
Enumeration Date | 2006-02-15 |
Last Update Date | 2021-09-15 |