NPI | 1902813413 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: AL 21406) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX K6667) |
207R00000X Internal Medicine (Licence: IN 01048083A) | |
207R00000X Internal Medicine (Licence: FL ME75686) | |
Enumeration Date | 2006-08-01 |
Last Update Date | 2024-12-03 |