| NPI | 1457872269 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: ME MD26930) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 010085752A) |
| Enumeration Date | 2017-06-30 |
| Last Update Date | 2023-06-27 |