NPI | 1447201447 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NV 15218) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME84716) |
Enumeration Date | 2006-05-14 |
Last Update Date | 2023-01-12 |