NPI | 1588818777 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2017025978) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036125533) |
Enumeration Date | 2008-11-14 |
Last Update Date | 2020-05-15 |