| NPI | 1538521539 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101266801) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DC MD047727) |
| 207R00000X Internal Medicine (Licence: MD D0088281) | |
| Enumeration Date | 2016-03-28 |
| Last Update Date | 2021-10-12 |