NPI | 1801823893 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA G175810) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD022085E) |
Enumeration Date | 2006-06-27 |
Last Update Date | 2022-05-06 |