| NPI | 1124762596 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301510742) |
| Additional Taxonomies | 208D00000X General Practice (Licence: MI 4301510742) |
| Enumeration Date | 2022-04-22 |
| Last Update Date | 2025-07-29 |