| NPI | 1437285178 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME110097) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 47292) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2011-11-15 |