NPI | 1891284840 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME162143) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.142711) |
Enumeration Date | 2018-05-04 |
Last Update Date | 2023-07-24 |