| NPI | 1316392582 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: HI MD-19437) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 150834) |
| Enumeration Date | 2016-04-25 |
| Last Update Date | 2021-06-21 |