NPI | 1346760048 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 281796) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 272263) |
Enumeration Date | 2017-06-23 |
Last Update Date | 2020-06-12 |