| NPI | 1295160646 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL OS12329) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL UO3033) |
| Enumeration Date | 2013-09-04 |
| Last Update Date | 2022-07-21 |