NPI | 1316132202 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 64698) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA TL002808) |
Enumeration Date | 2007-09-13 |
Last Update Date | 2023-03-23 |