NPI | 1831619022 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036-152131) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125070843) |
Enumeration Date | 2017-06-20 |
Last Update Date | 2020-03-24 |