| NPI | 1437378247 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX N8541) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01084153A) |
| 207R00000X Internal Medicine (Licence: PA MT185083) | |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2023-08-11 |