NPI | 1861444986 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 41504) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI RI11743) |
Enumeration Date | 2006-05-17 |
Last Update Date | 2020-07-17 |