| NPI | 1396448783 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2026014222) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AR E-18819) |
| Enumeration Date | 2023-03-23 |
| Last Update Date | 2026-06-24 |