NPI | 1992969596 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA C128683) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 41934) |
Enumeration Date | 2008-07-12 |
Last Update Date | 2024-07-25 |