| NPI | 1437584950 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NV DO2039) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL OS13062) |
| Enumeration Date | 2013-09-04 |
| Last Update Date | 2016-09-23 |