| NPI | 1215954763 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 50052) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 213036) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2013-12-02 |