| NPI | 1427002393 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME0074933) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME74933) |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2022-08-24 |