NPI | 1942512173 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC 32692) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC LL32692) |
Enumeration Date | 2010-07-02 |
Last Update Date | 2021-04-23 |