| NPI | 1225647738 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: RI CLP05083) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 67024) |
| Enumeration Date | 2020-07-30 |
| Last Update Date | 2023-09-13 |