NPI | 1710034517 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 42014) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: TN 42014) |
Enumeration Date | 2007-01-04 |
Last Update Date | 2025-02-26 |