| NPI | 1568668325 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: HI MD-15361) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A105219) |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2015-05-01 |