NPI | 1447879952 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR DO216216) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR 199544) |
Enumeration Date | 2020-04-14 |
Last Update Date | 2023-07-26 |