NPI | 1366143513 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 80276) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 34301) |
Enumeration Date | 2023-03-14 |
Last Update Date | 2025-08-19 |