| NPI | 1144280256 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NV 10712) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A80849) |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2018-10-23 |