| NPI | 1235307141 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA C160730) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01067223) |
| Enumeration Date | 2008-02-13 |
| Last Update Date | 2024-09-17 |