| NPI | 1639263023 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A53594) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NM 95326) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2016-09-09 |