NPI | 1497769517 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME 29325) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME29325) |
Enumeration Date | 2006-07-27 |
Last Update Date | 2021-03-31 |