| NPI | 1427022979 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NV 9501) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA C168688) |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2023-04-19 |