| NPI | 1144285859 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: RI MD09442) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 77245) |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2020-10-19 |