NPI | 1801141957 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IA MD-42280) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301101195) |
Enumeration Date | 2012-07-16 |
Last Update Date | 2025-09-05 |