| NPI | 1023535838 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MS 27813) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AR E-14096) |
| 207R00000X Internal Medicine (Licence: TN 61053) | |
| Enumeration Date | 2017-08-23 |
| Last Update Date | 2021-04-13 |