NPI | 1841616034 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 14185) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD H0088879) |
Enumeration Date | 2014-03-11 |
Last Update Date | 2021-08-27 |