| NPI | 1437846433 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 85308-20) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 100361851) |
| Enumeration Date | 2023-04-19 |
| Last Update Date | 2025-03-09 |