| NPI | 1538456462 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: IN 02004839A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101019322) |
| 207RA0201X Internal Medicine, Allergy & Immunology (Licence: OH 34.011409) | |
| Enumeration Date | 2011-06-29 |
| Last Update Date | 2021-05-12 |