| NPI | 1841390879 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AL 8238) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL AL8238) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2020-03-03 |