NPI | 1538722483 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 91539) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 10800) |
Enumeration Date | 2019-04-17 |
Last Update Date | 2023-02-02 |