| NPI | 1346240504 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME0074218) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL 510444005) |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2013-12-05 |