| NPI | 1275201923 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PR 24756) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PR 24756) |
| Enumeration Date | 2021-08-30 |
| Last Update Date | 2026-01-30 |