NPI | 1700225703 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: RI MD15301) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.063412) |
Enumeration Date | 2013-06-23 |
Last Update Date | 2024-05-15 |