NPI | 1427370618 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A128745) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 43028) |
Enumeration Date | 2010-02-16 |
Last Update Date | 2020-02-25 |