| NPI | 1396926366 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01064787A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 11013259A) |
| Enumeration Date | 2007-11-19 |
| Last Update Date | 2021-03-10 |