| NPI | 1588856314 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: HI MD-22529) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX M9711) |
| Enumeration Date | 2007-08-15 |
| Last Update Date | 2022-07-20 |