| NPI | 1558866855 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301505108) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A204164) |
| Enumeration Date | 2018-03-28 |
| Last Update Date | 2025-12-09 |