NPI | 1417396599 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2016010184) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2013018923) |
Enumeration Date | 2013-06-21 |
Last Update Date | 2023-06-21 |