NPI | 1659331924 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: KS 04-46844) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN MD45682) |
Enumeration Date | 2006-03-23 |
Last Update Date | 2023-01-04 |