| NPI | 1194132928 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: RI MD15730) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP03193) |
| Enumeration Date | 2014-07-14 |
| Last Update Date | 2021-11-30 |