| NPI | 1144383654 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OK 28646) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036107188) |
| 207R00000X Internal Medicine (Licence: AL MD.45192) | |
| 207R00000X Internal Medicine (Licence: AR E-16162) | |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2023-08-08 |