| NPI | 1194462424 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: RI LP05525) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI CLP05525) |
| Enumeration Date | 2022-05-18 |
| Last Update Date | 2022-05-18 |