| NPI | 1255504098 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301091402) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 4301091402) |
| Enumeration Date | 2008-04-11 |
| Last Update Date | 2019-01-17 |