NPI | 1922246529 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD H0073714) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA OP60386206) |
Enumeration Date | 2009-02-04 |
Last Update Date | 2024-01-02 |