NPI | 1427549005 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 125072190) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 327872) |
Enumeration Date | 2018-05-19 |
Last Update Date | 2024-09-13 |