| NPI | 1669424669 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 039393) |
| Additional Taxonomies | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: PA MD-072977L) |
| 207R00000X Internal Medicine (Licence: PA MD072977L) | |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: CT 039393) | |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2014-12-17 |