| NPI | 1013278092 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AK 112370) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AK 112370) |
| Enumeration Date | 2012-06-06 |
| Last Update Date | 2023-06-29 |