NPI | 1528592391 |
---|---|
Entity Type | Individual |
Gender | N/A |
Sole Proprietor ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: IN 02006030A) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 227364) |
Enumeration Date | 2017-04-18 |
Last Update Date | 2020-10-07 |