| NPI | 1255319810 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2012037325) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA 34243) |
| Enumeration Date | 2006-01-04 |
| Last Update Date | 2013-06-05 |