| NPI | 1417969478 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AR E-4974) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AR e4974) |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2024-02-20 |