NPI | 1518405661 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A169809) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125071560) |
Enumeration Date | 2017-02-09 |
Last Update Date | 2022-07-21 |