| NPI | 1306044409 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: RI MD13368) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP01164) |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2010-07-15 |