NPI | 1932541448 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A134874) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 084319) |
Enumeration Date | 2013-07-25 |
Last Update Date | 2020-06-08 |