| NPI | 1093732026 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO R4N51) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO r4c51) |
| 207RA0201X Internal Medicine, Allergy & Immunology (Licence: MO R4N51) | |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2021-02-11 |