NPI | 1306145859 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 006484) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
174400000X Specialist | |
Enumeration Date | 2011-03-23 |
Last Update Date | 2022-08-18 |