NPI | 1437726841 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR DO223602) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX 726594) |
Enumeration Date | 2021-06-06 |
Last Update Date | 2025-09-21 |