| NPI | 1053818955 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: ID O-1532) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: ID MRM-1712) |
| Enumeration Date | 2018-04-09 |
| Last Update Date | 2022-06-28 |