| NPI | 1437500618 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 70285-20) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10055737) |
| Enumeration Date | 2016-06-28 |
| Last Update Date | 2024-01-18 |