NPI | 1740037779 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 80302) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 34344) |
Enumeration Date | 2024-05-06 |
Last Update Date | 2025-08-28 |