NPI | 1790949956 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: HI MD-18353) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 235414) |
Enumeration Date | 2008-07-16 |
Last Update Date | 2019-03-19 |