NPI | 1467039263 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 72036) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 31590) |
Enumeration Date | 2021-03-26 |
Last Update Date | 2022-08-11 |