NPI | 1659483709 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD-038862-E) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD038862E) |
Enumeration Date | 2006-08-31 |
Last Update Date | 2022-08-19 |