| NPI | 1205408234 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD485694) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT223658) |
| Enumeration Date | 2021-07-09 |
| Last Update Date | 2025-11-22 |