| NPI | 1700265014 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 1700265014) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301107603) |
| Enumeration Date | 2015-05-20 |
| Last Update Date | 2018-12-11 |