NPI | 1598722597 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD60331130) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: AR E-4604) |
Enumeration Date | 2006-04-26 |
Last Update Date | 2021-08-13 |