NPI | 1295148468 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 273176) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA L-260276) |
Enumeration Date | 2014-06-05 |
Last Update Date | 2018-03-17 |