| NPI | 1447571559 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: RI DO00758) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OT013569) |
| Enumeration Date | 2010-06-13 |
| Last Update Date | 2014-04-16 |