| NPI | 1295142404 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01078051A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125064789) |
| Enumeration Date | 2014-07-20 |
| Last Update Date | 2022-10-10 |