NPI | 1437596475 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208D00000X General Practice (Licence: VA 0102204053) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0102204053) |
Enumeration Date | 2013-05-31 |
Last Update Date | 2024-11-21 |