| NPI | 1427425818 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR DO189696) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR PG177481) |
| Enumeration Date | 2015-09-01 |
| Last Update Date | 2021-03-19 |