| NPI | 1134446446 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AL 35171) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D75489) |
| Enumeration Date | 2010-04-26 |
| Last Update Date | 2022-11-14 |