| NPI | 1932604550 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: RI DO01543) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 286067) |
| Enumeration Date | 2018-03-26 |
| Last Update Date | 2026-04-09 |