| NPI | 1164537882 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD25569) |
| Additional Taxonomies | 174400000X Specialist (Licence: OR MD25569) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2022-10-07 |