NPI | 1831231299 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL OS13944) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OS009875L) |
Enumeration Date | 2007-02-13 |
Last Update Date | 2019-09-06 |