NPI | 1407294705 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: DC MD042776) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D88678) |
Enumeration Date | 2013-06-07 |
Last Update Date | 2023-01-02 |