NPI | 1982015681 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: AL MD.38251) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 324869) |
Enumeration Date | 2014-05-15 |
Last Update Date | 2021-02-08 |