| NPI | 1548796543 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: NE 2801) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101025436) |
| 207R00000X Internal Medicine (Licence: MI 5101023043) | |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2024-10-21 |