NPI | 1295056497 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 56586) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 61275-20) |
Enumeration Date | 2010-06-22 |
Last Update Date | 2021-11-29 |