| NPI | 1427679406 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A195210) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 69411) |
| Enumeration Date | 2020-05-01 |
| Last Update Date | 2024-06-28 |