NPI | 1518932854 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL os14015) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0102036888) |
207R00000X Internal Medicine (Licence: AZ 008288) | |
Enumeration Date | 2006-02-21 |
Last Update Date | 2020-04-28 |