NPI | 1568447886 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101043453) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101-043453) |
Enumeration Date | 2005-12-09 |
Last Update Date | 2025-08-15 |