| NPI | 1023506938 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX V4921) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME155527) |
| Enumeration Date | 2018-04-26 |
| Last Update Date | 2024-11-19 |