NPI | 1700857232 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D47405) |
Additional Taxonomies | 174400000X Specialist (Licence: MD D0047405) |
Enumeration Date | 2006-02-01 |
Last Update Date | 2023-08-28 |