NPI | 1477627545 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI EMC0002839) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0102202637) |
Enumeration Date | 2006-11-20 |
Last Update Date | 2023-06-27 |