NPI | 1306231436 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA 308659) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL DO.1671) |
Enumeration Date | 2015-04-06 |
Last Update Date | 2018-11-28 |