NPI | 1649402876 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101252049) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301094476) |
Enumeration Date | 2009-08-21 |
Last Update Date | 2025-03-05 |