NPI | 1841832359 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL HSE26932) |
Additional Taxonomies | 208600000X Surgery (Licence: FL HAE26932) |
Enumeration Date | 2019-10-16 |
Last Update Date | 2019-10-22 |