NPI | 1891352803 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A177014) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4351045007) |
Enumeration Date | 2019-05-24 |
Last Update Date | 2023-04-26 |