NPI | 1952979882 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 73075) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: HI 8097) |
Enumeration Date | 2021-06-16 |
Last Update Date | 2024-12-24 |