NPI | 1992110605 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NV 16012) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: ND 13355) |
Enumeration Date | 2014-06-23 |
Last Update Date | 2015-10-28 |