| NPI | 1164432415 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA 201631) |
| Additional Taxonomies | 207RH0005X Internal Medicine, Hypertension Specialist (Licence: LA 201631) |
| 208000000X Pediatrics (Licence: LA 201631) | |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2024-03-21 |