NPI | 1336199710 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME32856) |
Additional Taxonomies | 173000000X Legal Medicine (Licence: FL ME0032856) |
Enumeration Date | 2006-05-10 |
Last Update Date | 2022-10-20 |