NPI | 1982997557 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 266025) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301 098 213) |
Enumeration Date | 2011-05-16 |
Last Update Date | 2019-05-15 |