NPI | 1427679406 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A195210) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 69411) |
Enumeration Date | 2020-05-01 |
Last Update Date | 2024-06-28 |