| NPI | 1154360477 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 86513) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01049601A) |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2025-12-27 |