| NPI | 1184670226 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 57068) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A60278) |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2020-09-10 |