NPI | 1689713380 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 60099) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A60099) |
Enumeration Date | 2007-02-06 |
Last Update Date | 2020-02-25 |