NPI | 1316506066 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A188237) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036.162129) |
Enumeration Date | 2019-06-06 |
Last Update Date | 2025-07-14 |