| NPI | 1346396348 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D63072) |
| Additional Taxonomies | 174400000X Specialist (Licence: MD D0063072) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2024-05-01 |