| NPI | 1477903326 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01082931A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4351035174) |
| 207R00000X Internal Medicine (Licence: MI 4301109958) | |
| Enumeration Date | 2016-06-21 |
| Last Update Date | 2022-10-14 |