NPI | 1326291865 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA C177977) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2016-02139) |
Enumeration Date | 2008-10-28 |
Last Update Date | 2022-05-06 |