NPI | 1902072077 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: AL MD.22433) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: AR E-3836) |
Enumeration Date | 2008-05-07 |
Last Update Date | 2024-05-20 |