| NPI | 1538453196 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A137418) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 257982) |
| Enumeration Date | 2011-06-01 |
| Last Update Date | 2021-11-29 |