NPI | 1801029483 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A116432) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 52663) |
Enumeration Date | 2009-08-28 |
Last Update Date | 2024-12-27 |