NPI | 1669421202 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A104632) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D63437) |
Enumeration Date | 2006-05-10 |
Last Update Date | 2021-05-28 |