NPI | 1356897680 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 162542) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301110772) |
Enumeration Date | 2016-08-28 |
Last Update Date | 2024-04-30 |