| NPI | 1437325412 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 291942) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO DR.0059677) |
| 207R00000X Internal Medicine (Licence: NY 265169) | |
| Enumeration Date | 2008-04-30 |
| Last Update Date | 2022-11-04 |