NPI | 1922501741 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A181929) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV 21169) |
Enumeration Date | 2018-03-18 |
Last Update Date | 2023-03-19 |