| NPI | 1235463803 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AL DO.1546) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL OS10964) |
| Enumeration Date | 2009-09-29 |
| Last Update Date | 2019-06-24 |