| NPI | 1447380779 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: DC MD20177) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0044882) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2020-11-17 |