NPI | 1386173102 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL OS16788) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL UO5383) |
Enumeration Date | 2017-06-06 |
Last Update Date | 2024-05-23 |