NPI | 1598872483 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101260871) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 04-31174) |
Enumeration Date | 2006-08-24 |
Last Update Date | 2021-07-30 |