NPI | 1952665655 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MS 25900) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN MD52705) |
207R00000X Internal Medicine (Licence: AR E-13339) | |
Enumeration Date | 2012-06-27 |
Last Update Date | 2020-08-12 |