NPI | 1982664165 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME0066795) |
Additional Taxonomies | 173000000X Legal Medicine (Licence: FL ME0066795) |
Enumeration Date | 2006-03-23 |
Last Update Date | 2024-12-10 |