NPI | 1912587353 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 81490-21) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5151014952) |
Enumeration Date | 2021-04-09 |
Last Update Date | 2024-06-28 |