| NPI | 1154477206 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0102207196) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 20A1015) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2023-08-15 |