NPI | 1396468344 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NV 26773) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10080712) |
Enumeration Date | 2022-09-23 |
Last Update Date | 2025-07-21 |