NPI | 1467405894 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 20369) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO DR.0054861) |
Enumeration Date | 2006-05-18 |
Last Update Date | 2024-04-12 |