| NPI | 1194270280 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: ID MC-1763) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301109830) |
| 207R00000X Internal Medicine (Licence: SD 11594) | |
| Enumeration Date | 2016-08-18 |
| Last Update Date | 2023-07-31 |