NPI | 1346478534 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 1021624) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI MD13853) |
Enumeration Date | 2009-06-25 |
Last Update Date | 2025-03-05 |