| NPI | 1841832359 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL HSE26932) |
| Additional Taxonomies | 208600000X Surgery (Licence: FL HAE26932) |
| Enumeration Date | 2019-10-16 |
| Last Update Date | 2019-10-22 |