| NPI | 1326337395 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036136084) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 1326337395) |
| Enumeration Date | 2011-03-30 |
| Last Update Date | 2016-05-16 |