| NPI | 1447605498 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 61501) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AR E-13902) |
| 207R00000X Internal Medicine (Licence: MS 28000) | |
| Enumeration Date | 2016-04-27 |
| Last Update Date | 2024-03-20 |