NPI | 1316352784 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR CP209842) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO 55974) |
Enumeration Date | 2014-06-24 |
Last Update Date | 2022-02-22 |