| NPI | 1578854725 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NH EL11700) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 072370) |
| 207R00000X Internal Medicine (Licence: IN 01080315A) | |
| Enumeration Date | 2011-04-22 |
| Last Update Date | 2023-05-18 |