NPI | 1962449942 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101273192) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D37606) |
Enumeration Date | 2006-05-31 |
Last Update Date | 2023-11-21 |