NPI | 1770504474 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA 016686) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA MD.016686) |
Enumeration Date | 2006-07-21 |
Last Update Date | 2025-04-04 |