NPI | 1396000287 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036.150745) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT-202443) |
Enumeration Date | 2012-07-07 |
Last Update Date | 2019-10-01 |