NPI | 1932588407 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MS 26703) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: AR E-13921) |
207R00000X Internal Medicine (Licence: TN 3718) | |
207R00000X Internal Medicine (Licence: FL OS15264) | |
Enumeration Date | 2015-05-29 |
Last Update Date | 2021-03-12 |