NPI | 1467659771 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA C171960) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125053543) |
Enumeration Date | 2007-06-29 |
Last Update Date | 2024-04-18 |