| NPI | 1114183449 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01069020A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301091596) |
| Enumeration Date | 2008-08-06 |
| Last Update Date | 2023-11-27 |