| NPI | 1578567087 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME80152) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME80152) |
| Enumeration Date | 2005-06-13 |
| Last Update Date | 2014-01-03 |