NPI | 1487116950 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NV 25938) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A181122) |
Enumeration Date | 2019-04-03 |
Last Update Date | 2025-07-17 |