| NPI | 1346771540 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME151551) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 74824) |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2025-08-15 |