| NPI | 1487824041 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NV DO1536) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 20080) |
| 207R00000X Internal Medicine (Licence: FL 17601) | |
| Enumeration Date | 2008-03-10 |
| Last Update Date | 2022-08-10 |