| NPI | 1598714842 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA MD.205912) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 29271) |
| Enumeration Date | 2006-05-06 |
| Last Update Date | 2013-01-23 |