| NPI | 1013137942 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC 31262) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01063322A) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2020-12-24 |