| NPI | 1851529549 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: HI MD 15984) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A111764) |
| Enumeration Date | 2009-07-01 |
| Last Update Date | 2011-09-26 |