| NPI | 1316395429 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY 04513) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 218058) |
| Enumeration Date | 2016-05-31 |
| Last Update Date | 2019-06-20 |