| NPI | 1083889117 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: UT 12715045-1205) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 258231-1) |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2023-10-05 |