NPI | 1770670713 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A110080) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2006027970) |
Enumeration Date | 2006-10-10 |
Last Update Date | 2021-08-31 |