NPI | 1659733277 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: KS 04-48282) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO 0059923) |
Enumeration Date | 2016-03-23 |
Last Update Date | 2024-06-21 |