| NPI | 1780895839 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301087697) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A112223) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2021-12-15 |