NPI | 1609859289 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL BF8198788) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301502279) |
Enumeration Date | 2005-11-28 |
Last Update Date | 2022-09-27 |