| NPI | 1841267598 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA MD200233) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 200233) |
| Enumeration Date | 2006-03-01 |
| Last Update Date | 2017-04-28 |