| NPI | 1437265279 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME106476) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL 00024822) |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2022-08-12 |