| NPI | 1043473671 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01071570A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY R1487) |
| 207R00000X Internal Medicine (Licence: KY 42742) | |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2023-11-27 |