| NPI | 1609895374 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: HI MD-12893) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: HI MD 12893) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2021-07-13 |