| NPI | 1184657157 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D0057375) |
| Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: MD D0057375) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2017-11-16 |