| NPI | 1023457132 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: MO 2015008633) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2015008633) |
| Enumeration Date | 2013-06-21 |
| Last Update Date | 2025-04-17 |