| NPI | 1295772341 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2007-01857) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI DO00608) |
| 207R00000X Internal Medicine (Licence: MA 223240) | |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2024-02-13 |