| NPI | 1417442245 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01093365A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SD 12777) |
| Enumeration Date | 2018-06-25 |
| Last Update Date | 2024-08-02 |