| NPI | 1437145000 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME0048040) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2009-01719) |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2021-03-29 |