| NPI | 1467462077 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN MD31872) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 31872) |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2016-08-16 |