NPI | 1366499220 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX N9264) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301081763) |
Enumeration Date | 2006-05-27 |
Last Update Date | 2021-09-30 |