| NPI | 1578191425 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01093151A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 11021529A) |
| Enumeration Date | 2020-03-27 |
| Last Update Date | 2024-11-05 |