NPI | 1861019614 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 3013596) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT220567) |
Enumeration Date | 2020-06-27 |
Last Update Date | 2023-12-26 |