NPI | 1366001760 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC 82747) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC LL82747) |
Enumeration Date | 2019-06-10 |
Last Update Date | 2022-08-15 |