NPI | 1366518540 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D60658) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101248802) |
207R00000X Internal Medicine (Licence: DC MD34367) | |
Enumeration Date | 2006-11-28 |
Last Update Date | 2021-11-18 |