| NPI | 1447268727 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC 39228) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 050238) |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2022-07-21 |