NPI | 1912430844 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 61362) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: AR E-13975) |
207R00000X Internal Medicine (Licence: MS 27915) | |
Enumeration Date | 2017-04-07 |
Last Update Date | 2021-03-29 |