| NPI | 1245360726 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01052348A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01052348) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2012-01-04 |