| NPI | 1346777950 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR DO198565) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY R4495) |
| Enumeration Date | 2017-05-12 |
| Last Update Date | 2020-06-12 |