NPI | 1881770451 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RS0010X Internal Medicine, Sports Medicine (Licence: MO 2022043202) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2022043202) |
Enumeration Date | 2006-10-27 |
Last Update Date | 2024-04-25 |