| NPI | 1982871786 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD436172) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0067593) |
| Enumeration Date | 2008-05-12 |
| Last Update Date | 2021-10-26 |