NPI | 1477594752 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NH 10169) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: VT 420011112) |
Enumeration Date | 2006-06-09 |
Last Update Date | 2021-06-14 |