NPI | 1568800340 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301103112) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036-140187) |
Enumeration Date | 2013-06-13 |
Last Update Date | 2024-07-25 |