| NPI | 1295785095 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 40248) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AR E0106) |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2018-03-26 |