NPI | 1750960837 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL OS22178) |
Additional Taxonomies | 208000000X Pediatrics (Licence: FL OS22178) |
Enumeration Date | 2021-04-06 |
Last Update Date | 2025-08-08 |