| NPI | 1427578608 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MS 27841) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AR E-13432) |
| 207R00000X Internal Medicine (Licence: TN 61585) | |
| Enumeration Date | 2017-06-20 |
| Last Update Date | 2021-03-29 |