| NPI | 1437306412 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PR 17502) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PR 26834) |
| Enumeration Date | 2008-08-21 |
| Last Update Date | 2009-08-26 |