| NPI | 1467765586 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 15859) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL OS11300) |
| Enumeration Date | 2010-07-18 |
| Last Update Date | 2024-11-19 |