NPI | 1740280288 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2021-02565) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 223285) |
Enumeration Date | 2005-07-27 |
Last Update Date | 2021-11-29 |