| NPI | 1467456285 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01053533) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01053533A) |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2026-03-13 |