| NPI | 1073148003 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101274233) |
| Additional Taxonomies | 208D00000X General Practice (Licence: VA 0101274233) |
| Enumeration Date | 2020-03-10 |
| Last Update Date | 2023-08-14 |