NPI | 1740410679 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NV SL0682) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OK 5131) |
207R00000X Internal Medicine (Licence: OK 5131) | |
Enumeration Date | 2009-07-27 |
Last Update Date | 2025-03-19 |