NPI | 1457679417 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01071327A) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 11015387A) |
Enumeration Date | 2010-05-13 |
Last Update Date | 2021-02-03 |