NPI | 1558380576 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 100796) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 05-28058) |
Enumeration Date | 2006-07-19 |
Last Update Date | 2022-08-18 |