| NPI | 1437182524 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME98999) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MS 10220) |
| 174400000X Specialist (Licence: MS 10220) | |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2023-12-05 |