| NPI | 1437166311 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD16232) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA G83774) |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2021-02-16 |