NPI | 1942512199 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 46694) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: AR E-15511) |
Enumeration Date | 2010-07-03 |
Last Update Date | 2022-06-23 |