NPI | 1437114998 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY 21538) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01033400A) |
Enumeration Date | 2006-04-19 |
Last Update Date | 2021-04-14 |