NPI | 1851974307 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 02007923A) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ R3568) |
Enumeration Date | 2021-05-03 |
Last Update Date | 2024-09-11 |