| NPI | 1487677886 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 34299) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME108755) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2014-10-13 |