| NPI | 1326538737 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: RI DO01141) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 287444) |
| Enumeration Date | 2018-05-11 |
| Last Update Date | 2022-05-12 |