| NPI | 1184182446 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA 332579) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 5719) |
| Enumeration Date | 2019-03-06 |
| Last Update Date | 2024-11-18 |