NPI | 1659773901 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036142080) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: DE C1-0024869) |
Enumeration Date | 2014-09-18 |
Last Update Date | 2022-04-27 |