| NPI | 1588679005 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 230368) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NH 12324) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2020-12-11 |