| NPI | 1669468336 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MS 23349) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI IT053374) |
| 207R00000X Internal Medicine (Licence: AL 31196) | |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2021-04-29 |