| NPI | 1467985051 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01083669B) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 58115) |
| Enumeration Date | 2017-04-10 |
| Last Update Date | 2022-10-15 |