NPI | 1407485485 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 72540) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 94140) |
Enumeration Date | 2020-04-02 |
Last Update Date | 2024-11-20 |