NPI | 1316918782 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX E5979) |
Additional Taxonomies | 208600000X Surgery (Licence: TX E5979) |
Enumeration Date | 2006-02-01 |
Last Update Date | 2024-08-29 |