| NPI | 1437770823 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NV DO3421) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ R3341) |
| Enumeration Date | 2020-04-27 |
| Last Update Date | 2023-07-06 |