| NPI | 1386081610 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: MA 273685) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP02752) |
| 207R00000X Internal Medicine (Licence: MA 273685) | |
| Enumeration Date | 2013-05-28 |
| Last Update Date | 2023-10-30 |