| NPI | 1447246434 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: RI MD21198) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A86397) |
| Enumeration Date | 2005-09-23 |
| Last Update Date | 2026-04-10 |