NPI | 1477536811 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN CV2200875) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0055973) |
Enumeration Date | 2005-11-21 |
Last Update Date | 2022-10-15 |