NPI | 1861506412 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2007-01617) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 20881) |
Enumeration Date | 2006-08-19 |
Last Update Date | 2025-07-07 |