NPI | 1548796543 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: NE 2801) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101025436) |
207R00000X Internal Medicine (Licence: MI 5101023043) | |
Enumeration Date | 2017-05-11 |
Last Update Date | 2024-10-21 |